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Public Health Systems and Emerging Infections Assessing the Capabilities of the Public and Private Sectors: Workshop Summary (2000) / Chapter Skim
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5 Strategic Planning, Resource Allocation, and Economic Support
Pages 68-74

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From page 68...
... Congress, state legislators, and managed care organizations need to be educated about the needs of the public health systems, particularly the public health infrastructure. Until public health laboratories and clinical departments have the resources and infrastructures necessary to meet the challenges of emerging infectious diseases, planning may remain reactive rather than strategic.
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From page 69...
... Congress has come to appreciate the value of basic research and could similarly come to appreciate the need for an adequate public health infrastructure and infectious disease surveillance. The Senate Subcommittee on Public Health and Safety plans to convene hearings on issues related to infectious diseases, including bioterrorism, food safety, and antimicrobial resistance.
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From page 70...
... Public health, like a lot of other government endeavors, includes the intangible, but there has been a basic consensus that it is a worthwhile and rational investment. Nevertheless, federal support for public health efforts does not take into account activities at the state or private level.
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From page 71...
... State Health Officer, Mississippi Department of Health State governments have many public health responsibilities. These include conduct of surveillance, maintain the capacity to perform epidemiological investigations, and contain the expertise and experience needed to rapidly mount mass immunization campaigns.
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From page 72...
... Until there is regular investigation of suspicious deaths by sufficiently qualified persons, there will never be adequate surveillance for emerging infectious diseases or for a number of other potential public health problems. In addition to sufficient financial and human resources, state health officials would also benefit from the establishment of standards of personnel qualifications and case definitions.
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From page 73...
... One of these is the fact that it is hard to obtain adequate funds for infrastructure. In addition, because many state public health laboratories consider managed care's impact to be a negative, adversarial relationships among public health officials, managed care organizations, and state legislators may develop.
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From page 74...
... About one-third of clinical directors and laboratory directors reported that they spent decreasing amounts of time actually performing tests. Two-thirds of the laboratories reported a decrease in overall staffing, and equal numbers of respondents reported an increase and a decrease in pathologists, Ph.D.
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Key Terms

  • health officials
  • health laboratories
  • state health
  • emerging infectious
  • health infrastructure

  • care organizations
  • health departments
  • emerging infections
  • infectious disease
  • health activities

  • inadequate resources
  • health laboratory
  • clinical laboratories
  • state legislators
  • economic support

  • food safety
  • disease surveillance
  • antimicrobial resistance
  • integrated patient
  • public sector

  • clinical departments
  • adequate surveillance
  • unusual infections
  • county health
  • skills held

  • actual experience
  • competing directly
  • territorial health
  • nonacademic hospitals
  • formulary policies


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